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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1619790953
Family Medicine in Hagerstown, MD

Active since November 05, 2024
11110 MEDICAL CAMPUS RD STE 200, HAGERSTOWN, MD 21742(301) 714-4400 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Practices Of Antietam Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL PRACTICES OF ANTIETAM LLC (NPI 1619790953) is a healthcare organization registered as a family medicine in Hagerstown, Maryland and active in the NPI registry since November 2024. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619790953
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address11110 MEDICAL CAMPUS RD STE 200Hagerstown, MD 21742-6797
Mailing Address11110 Medical Campus Rd Ste 200Hagerstown, MD 21742-6797
Phone(301) 714-4400
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1619790953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11110 MEDICAL CAMPUS RD STE 200, Hagerstown, MD 21742
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRIST WILLIAM CUFFEE DO
Student in an Organized Health Care Education/Training Program
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD 21742
Washington County (301) 790-9244
THUY QUOC VUONG
Student in an Organized Health Care Education/Training Program
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD 21742
Washington County (301) 790-8000
LOGAN HARRISON ROBERTSON
Physician Assistant (Medical)
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD 21742
Washington County (301) 714-4400
JOSHUA MICHAEL BEACH
Nurse Practitioner
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD 21742
Washington County (301) 714-4400
GEOFFREY N SANYI DO
Family Medicine (Sports Medicine)
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD 21742
Washington County (301) 714-4400
CARMINA MARIE ROGELIO MD
General Practice
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD 21742
Washington County (301) 790-9244
DR. JOSEPH E. ASUNCION MD
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD 21742
Washington County (301) 714-4400
ASHIKA CHALUVADI DO
Student in an Organized Health Care Education/Training Program
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD 21742
Washington County (301) 790-9244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Practices Of Antietam LLC's NPI number?

The NPI number for Medical Practices Of Antietam LLC is 1619790953. It was assigned to this organization in the NPPES registry on November 5, 2024.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742. The listed phone number is (301) 714-4400.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.